Thursday, July 3, 2014

Endovascular management of cerebral vasospasm

Endovascular management of cerebral vasospasm
Journal of Neurosurgery: Neurosurgical FOCUS: Table of Contents

Neurosurgical Focus, Volume 37, Issue V1Supplement, Page 1-1, July 2014.
Cerebral vasospasm remains a feared complication from subarachnoid hemorrhage. Vasospasm typically occurs from three to fourteen days post–aneurysm rupture, with peak risk on Day 7. Up to 50% of patients with angiographic vasospasm will subsequently develop delayed cerebral ischemia; 15–20% of this subset will develop stroke or death despite maximal medical therapy. We define symptomatic vasospasm as the presence of neurological worsening after exclusion of other identifiable causes, such as seizure, hydrocephalus, intracerebral hemorrhage, or metabolic dysfunction. This video demonstrates the set-up and treatment protocol for endovascular intervention of symptomatic vasospasm not responsive to maximal medical management. The video can be found here: http://youtu.be/q7YvxLzIDnU.

Original Article: http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14172?ai=rw&mi=3ba5z2&af=R

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